Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $1,938.00 / $8,294.00	Facility		$88.27	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $235.52 / $439.59	Professional		$49.02	$235.52	$439.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,213.74 / $1,213.74 / $1,213.74	Professional	50	$1,213.74	$1,213.74	$1,213.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $198.39 / $402.23	Professional		$46.43	$198.39	$402.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.65 / $297.58 / $568.97	Professional	50	$69.65	$297.58	$568.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $55.02 / $676.00	Professional		$50.76	$55.02	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $145.24 / $542.22	Professional		$52.74	$145.24	$542.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $279.58 / $342.64	Professional		$232.99	$279.58	$342.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $262.54 / $559.48	Facility		$57.28	$262.54	$559.48
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $130.50 / $635.30 / $1,172.66	Facility	50	$130.50	$635.30	$1,172.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $458.00 / $623.00	Professional		$389.00	$458.00	$623.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $67.89 / $234.21	Facility		$49.25	$67.89	$234.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $417.53 / $701.10	Professional		$301.69	$417.53	$701.10
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $431.50 / $662.03	Professional		$274.70	$431.50	$662.03